NPI | 1831635556 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK WHITE Director 352-432-3960 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8508) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |